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■ The proportion of elderly pregnant women in China was 0.9% in 1995, 4% in 2005 and 10% in 2015.

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■ 90 million or so families in line with the conditions of childbearing two children, 60% of the women over the age of 35, 50% over the age of 40.

China, banned surrogacy

In 2001, the former Ministry of Health has introduced the “management of human assisted reproductive technology approach”, which Article 3, paragraph 2 states: “The sale of gametes, zygotes, embryos in any form prohibited medical institutions and medical personnel shall not implement any form of surrogate technology . “As a relatively new thing, surrogacy does involve a range of ethical issues, but also challenges to social management.

Peking University Law School Professor Xue Jun believes that the surrogate process, even if the sperm and eggs are entrusted to the couple, the child produced by another female body, may also make some people have feelings of parental disorder. In the process of pregnancy and childbirth, the surrogate may have mother-child complex of the fetus, the child is not willing to give up after birth, resulting in ownership of contention.

Since the full implementation of the two-child policy, has been full one year. “People’s Daily” recently launched a “two-year policy tracking” series of reports. In the latest issue, the “People’s Daily” pointed out that the national child birth in line with the conditions of the 90 million or so families, 60% of the women over the age of 35 years, 50% in 40 years of age. Many elderly women eager to pregnancy, but powerless, pregnant with a child. Infertility has become the biggest heart disease in a family with two children. Many doctors therefore called for appropriate open access to surrogacy.

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90 million households

Half “difficult to conceive”

Two child policy fully liberalized since 70, 80, after the re-education of the ranks of the increase, older women spurt-type increase. The proportion of elderly pregnant women in China was 0.9% in 1995, 4% in 2005 and 10% in 2015. Data show that the conditions of birth in line with the two children of about 90 million households, 60% of the women over the age of 35 years, 50% in 40 years of age. Many elderly women eager to pregnancy, but powerless, pregnant with a child. Infertility has become the biggest heart disease in a family with two children.

Geng Linlin, deputy director of the Clinical Research Center of the National Institute for Scientific Research and Development, said that people’s reproductive age and fertility were negatively correlated with age, the lower the fertility, coupled with the gradual aging of women’s eggs, as well as environmental pollution, electromagnetic radiation , The impact of chemicals in the 10 years before menopause, women’s follicle quality will be a downward trend. With age, fertility showed a significant downward trend, to 45 years of age, nearly 90% of women without fertility, and the average age of the last pregnancy is about 40 years old.

Reproductive Center, Peking University People’s Hospital, chief physician deer, said that age plays a very important role in fertility, age determines the quality and quantity of egg cells. Fertility also decreased with age, on the one hand, decreased ovarian reserve function, on the other hand is increased abortion rate.

Compared to eggs, sperm more vulnerable. In recent years, the trend of male infertility increased significantly more than female infertility. Work pressure, affecting the body endocrine hormone secretion, resulting in decreased sperm count, sperm motility and sperm morphology abnormalities. Male azoospermia, oligozoospermia, asthenozoospermia patients increased significantly, severe damage to spermatogenic cells, sperm quality decreased, thereby reducing the male fertility. Related statistics show that men sperm per milliliter of semen contained in the current number of 20 million to 40 million.

Decline in human fertility, has become increasingly serious social problems. World Health Organization Special Program on Human Reproduction report, worldwide infertility rate of up to 15% to 20%, about 15 million pairs of Chinese couples infertile. There are many ways to treat infertility, such as drug therapy, IVF, artificial insemination and so on. At present, the general pregnancy rate of drug therapy for 10% to 15%, do IVF pregnancy rate of 40% to 50%, artificial insemination pregnancy rate of 15% to 20%. If you can not have two children, another way is surrogacy, but China strictly prohibited surrogacy.

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Professionals call for appropriate release

Start with voluntary surrogacy?

■ Keywords 1 “to prevent commercial surrogacy”

Beiyisanyuan chief physician Wang Lina said that at present, the vast majority of countries in the world can allow is voluntary surrogacy, surrogate mothers are basically free of charge behavior. Wang Lina call, and now the incidence of cancer so high, and some patients may be 30 years old or even earlier to cut the uterus, so young will never lose the right to do the mother, it is indeed regrettable. She suggested appropriate open access to surrogacy, but to prevent commercial surrogacy.

■ Key word 2 “Ethics supervision and technical supervision”

Professor Wang Yifang, professor of Peking University Institute of Medical Humanities, said that ethics should not be a burden of surrogate technology, but should become a tool to promote the orderly development of technology. For families with a disability, both husband and wife in the sperm, the egg is still available in the case, already no reproductive capacity. Surrogacy can solve the problem of birth in a family with a disability.

For surrogacy, Genglin Lin feeling particularly deep. Wenchuan earthquake, many families have lost their children, they especially want to own a child, but due to age factors, no way to reproduce. She called for strengthening ethical supervision and technical supervision, appropriate open surrogacy.

■ Keywords 3 “can not travel freely”

Yin Xiuyun, associate professor of ethics at Peking University Health Science Department, believes that the application of surrogate technology has two problems, one is legal, a moral. Even if the law does not allow, can not put up surrogate suspension, do not consider. Wang said that surrogacy should be “brakes” can not be arbitrary driving. To surrogate technology in a particular cage off, but the cage can not be too loose, “Cattle Cow Cat” is not enough.

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